MP65-18 FEASIBILITY OF A SINGLE USE URETEROSCOPE RECYCLING PROGRAM

Abstract

INTRODUCTION AND OBJECTIVE: Single-use flexible ureteroscopes have gained recent popularity with comparable optics and maneuverability compared to reusable reprocessed ureteroscopes. However, the increased plastic, material waste, and potential for adverse environmental impact associated with single-use devices are concerning. Our objective was to pilot a recycling program to address this concern and measure impact. METHODS: A single-use ureteroscope recycling program was developed in collaboration with a ureteroscope manufacturer (Boston Scientific, Marlborough, MA), a medical waste management company (Sharps Compliance Inc, Houston, TX), and a multi-institutional group of endourologists and medical professionals. A workflow was designed such that at the completion of each case, the ureteroscope and its component packaging were stored in a recycling container intended to hold five ureteroscopes at a time. Once full, the container was shipped to a recycling facility where the scopes were broken down, separated by parts, and autoclaved. Metal and electronic components were recycled while plastic and cardboard waste was incinerated via a waste-to-energy process. RESULTS: The single-use ureteroscope recycling project was piloted at six health systems from June through September 2020. During the study period, 27 recycling units were processed comprised of 135 disposable scope and packaging units. The total weight of the recycled ureteroscope units was 330 lbs. Based on estimates from the manufacturer, this resulted in 274 lbs of plastic waste, 87% of which was repurposed to energy for a total reduction in landfill waste by 238 lbs. CONCLUSIONS: Single-use ureteroscope recycling is feasible and significantly reduces operative material waste after ureteroscopy. Further studies regarding the net environmental impact of recycled single-use ureteroscopes, nonrecycled ureteroscopes, and reusable ureteroscopes are warranted.